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Executive Function Survey
Pick the number which best describes you for each statement.
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- How old are you?
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- I can independently set goals for my grades in school.
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- When plans change suddenly, I am flexible about the new thing I have to do.
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- I often act without thinking how things will turn out.
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- I usually know how long it will take to do an assignment.
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- Which is your ethnic group?
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- Its easy to find the things I need in my locker because I am organized.
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- I can get angry fast.
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- I am able to remember the things I read.
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- I am able to remember the information that I hear about in class.
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- My friends look to me to organize fun things to do.
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- If my first attempt to solve a problem fails, I usually don't know what to do next.
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- When thoughts pop into my brain, like calling a kid a name or pushing someone, I act on them without thinking.
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- I complete my school work on time.
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- My parents think I am very forgetful.
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- I am able to make plans for my school day.
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- I have a lot of control over the grades I get in my classes.
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- I lose a lot of assignments before I can hand them in.
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- I am
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- I am able to remember the things that I see.
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- I am able to organize my school assignments and projects.
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- Most of the time, I am able to look at my behavior and decide if it is OK to the situation I am in.
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- I often forget things like chores and homework.
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- It takes me a lot longer than my friends to do schoolwork.
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- I can't remember things as well as my friends can.
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- I can usually find more than one way to solve a problem.
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- It is pretty hard for me to control my behavior when my friends are acting up.
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- I sometimes get in trouble because I come home late because I haven't realized how much time has gone by.
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- I often have late assignments.
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- If you looked at my room at home it would be a mess right now.
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